Individual provider Active NPI

David Flynn Patterson, M.D.

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1609212026
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
58432 Issued in MN
Practice address
3100 W 70TH St
Edina, MN 55435-4227
Phone
(952) 848-8300
Fax
(952) 848-8315
NPI assigned
May 13, 2013
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 58432 MN Primary

Addresses

Primary practice location

3100 W 70TH St
Edina, MN 55435-4227

Mailing address

3100 W 70TH St.
Ophthalmology, PA Dba: McCannel Eye Clinic
Edina, MN 55435-4227
Phone (952) 848-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002830 MN Practitioner - Ophthalmology 1456589704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology PAGroup PAC ID 9335151307, 4 clinicians

Practice addresses (Care Compare)

3100 W 70TH St
Edina, MN 55435-4227
Phone (952) 848-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58432MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology PA Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients

Locations

3100 W 70th St
Minneapolis, MN 55435
Phone (952) 848-8300

Interoperability endpoints

  • Direct secure messaging: dpatterson@ophpa.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1609212026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W 70TH ST.",
            "address_2": "OPHTHALMOLOGY, PA DBA: MCCANNEL EYE CLINIC",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354227",
            "telephone_number": "952-848-8300",
            "fax_number": "952-848-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W 70TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354227",
            "telephone_number": "952-848-8300",
            "fax_number": "952-848-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "middle_name": "FLYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "58432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.